HomeMy WebLinkAbout14060118 Application (2) �17I2014 Defails
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Utiqation Documents Amy L. O'Bryant
Dioital Cenificatlon
Massaoe Theiaov Board
Carmel IN 46033
license No: MT21204549
Profession: Massage Therapy Board
! �icense Type: Massage Therapist
Obtained By Method: Examination
Issue Date: 11l30/2012
Expiration Date: 5/15/2017
License Status: ACti�,e
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Project numher Release date
i•�<�"^'•� CONSTRUCTION DESIGN RELEASE
�� "._.�t�*'..��... 371315 05/29/14
� State Fortn 41191(R9/5-98)
p:#: �:� .�•: Construction tyPe Occupancy classification
�� Report Pnnted an'. June 3,2014
... . II-B A-3, REM
Scope of release
�� �r. INDIANA p2 i ARCH FDN MECH
� ;:,'�'. = STR
� �� � Type of release
� " � � ' � StantlarC
nveiiaeien�rour�auiucmaam�cn p�ojectname
To:OwneN Architect/Engineer SUPPORT HOOSIER SAFE7V Hazel Dell Chnstian Church P�ase IV
arcDESIGN
MiChael W.W Engledow AR19300042 Sveetaddress
201 N. Delaware Street 14W1 Hazel Dell Parkway
Indianapolis IN 46204 ciry counry
Carmel HAMIL70N
Fax 8 e- 3179519194,mengletlow�arctlesig�.us
mail:
The plans,specifications and application submitted for the above re(erenced projed have been reNewed tor cortlpliance with the applicable rules of
ihe Fire Prevenlion and Builtling Safely Commissioa The project is released for wnsimction subjed to,but not necessanly limited to,Ihe conditions
listed below.THIS IS NOT A BUILDING PERMIT.All required local permits and licenses mus�be obtained pnor to beginning constmction work.All
consimction work must be in full compliance with all applicable State mles.Any changes in ihe released plans andlo�sFeci(cffiions must be fletl with
antl released by Ihis OHice before any work is alteretl.This release may be suspendetl Or revoked i!it is delerminetl lo be issued in error,in Wolation
of any mles of ihe Commission or i(it is based on inrorred or insuKCient informatioa This release shall expire by limilation,and become null and
void,if ihe work authorized is not commenced within one(1)yea�trom the above date.
CONQITIONS'.
NWe:
(A1A&A18):In accordance wilh the aKdavit swom under penalties of perjury in the application for consimction design release the plans
and spedfcalions fled in conjunction with ihis project shall comply with all of ihe applicable mles and laws of Fire Prevention and Builtling Safety
Commission.Providing false in(ormation wnstitutes an aa of perjury,which is a Class D felony punishable by a prison lerm and a fne up to$10,000.
In accordance with Section 19 ot Ihe General AdminisUative Rules(fi75 1AC 12-6-
19)a complete set of plans and specifcffi�ons that conform
exac2ly to the design that was released by ihe otfce of t�e slate building commissioner shall be main�ained on lhe consimction jobsile as well as a
copy of lhe Gesign release.
A1 No Conditions.
Please be atlNSed that if an administrative review o(this action is desired,a wtltten petition tor review must be(iled at the above atltlress with the
Fire Prevention antl Builtling Safety Commission identifying the matterior which a reNew is sought no later ihan eighleen(18)days from the above-
stateG date,unless the eighteenth day falis on a Saturday,a Sunday,a legal holitlay under Stale staWte,or a day in which the Departmenl of Fire
and Building Services is closed tluring normal business hours.In�he latter case,ihe(ling deatlline will be lhe(rst working day thereaker.If you
choose to petition,and lhe before-
mentioned procetlures are followeq your petAion for review will be granted,and an administrative proceedi�g will
be conducted by an administretive law judge o(Ihe Fire Prevention and Building Safety Commission.If a petition tor reNew is nol(led,this Ortler vnli
be final,antl you mus[wmply with ils requirements.
Code review otfcial BONNIE ROBISON State Building Commissioner
brobison@dhs.in.gov
Address(name,title of local oKaal,street city,state and ZIP code
BUILDING COMMISSIONER
Stale Fire Marshal
CHARLES KIPHART
ONE HAMIITON S�UARE SUITE 138 0_ ��„�a��.���yJ
NOBLESVILLE, IN 46060 %��
FazBe
mail:3177�42559,Chuck.kiphart@hamiltoncounly.in.gov
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